Healthcare Provider Details

I. General information

NPI: 1831009851
Provider Name (Legal Business Name): TAYLOR JANAI WILLIAMS
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 NEWBERRY RD
GAINESVILLE FL
32607-2245
US

IV. Provider business mailing address

4500 NEWBERRY RD
GAINESVILLE FL
32607-2245
US

V. Phone/Fax

Practice location:
  • Phone: 352-336-6000
  • Fax: 352-336-6071
Mailing address:
  • Phone: 352-336-6000
  • Fax: 352-336-6071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT27000
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: